Vol 92, No 2 (2021)
Research paper
Published online: 2021-02-22

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Effect of re-approximation of the rectus muscles on diastasis recti abdominis at cesarean section — a prospective cross-sectional study

Ersin Çintesun1, Feyza Nur İncesu Çintesun2, Meltem Aydoğdu1, Denizhan Bayramoğlu1, Çetin Çelik1
Ginekol Pol 2021;92(2):132-136.


Objectives: Caesarean section (CS) is one of the most frequently performed surgical procedures in the world and Turkey. In
this study, we aimed to investigate the relationship between re-approximation of the rectus muscles during CS and the severity
of diastasis recti abdominis in the first postoperative month. To investigate the relationship between re-approximation
of the rectus muscles during CS and the severity of diastasis recti abdominis in the first postoperative month.
Material and methods: The study was designed as a prospective cross-sectional study. Patients were divided into two
groups: parietal peritoneum closure only (Group 1), and closure of the parietal peritoneum and re-approximation of rectus
muscle (Group 2). The distance between the rectus muscles and the thickest rectus muscle thickness were measured
one month after CS from three anatomic regions using superficial ultrasonography by the same blinded physician. The
anatomic regions were described as xiphoid, 3 cm above the umbilicus, and 2 cm below the umbilicus. The relation of the
measurements between the groups was evaluated.
Results: There was a total of 128 patients, 64 in Group 1 and 64 in Group 2. There were no statistical differences between
the groups in terms of the distance between rectus muscles and the thickness of rectus muscle at the described anatomic
regions (p > 0.05).
Conclusion: Re-approximation of rectus muscles has no effect on the prevention of diastasis recti, which is an important
cosmetic problem.

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